HB 590 Utah House · 2026 General Session

Child Therapy Amendments

HB 590 ensures children transitioning out of foster care in Utah can continue seeing their existing mental health therapist without losing coverage. It requires insurers to offer special agreements for these children (called "covered children") to access out-of-network therapists who provided care while they were in foster care, with the same cost-sharing as in-network providers. The Division of Child and Family Services must also coordinate with therapists when children enter or leave foster care to maintain treatment continuity. This applies specifically to children receiving outpatient mental health services, excluding those in residential or higher-level care facilities.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Feb 20, 2026 Signed Mar 19, 2026
Maddy AI version diff · 6 comparisons

What changed between versions

Amended 3/4/2026 18:03:622 Substitute #1 · 1 edit
MINOR
The bill text was reformatted from a plain text version to a structured substitute document with line numbers and headers, but the substantive legal language, definitions, and requirements regarding mental health continuity for children in foster care remain identical.
Scope change
No change in scope or applicability; the policy content is unchanged.
TECHNICAL

The text was converted from a plain text diff format into a formatted substitute bill layout with line numbers, page breaks, and sponsor headers.

Floor votes · Senate Mar 5, 2026 · House Mar 5, 2026

How they voted

260
Passed · 3 other
Total votes 29
Mar 5, 2026
D Democratic6
6 Yea
100% Yea
N Forward1
1 Yea
100% Yea
R Republican22
19 Yea 3
86% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
50
Key actions
9
Committee
5
Amendments
5
Mar 19, 2026
Signed into law
Governor Signed
executive
Mar 6, 2026
Lower · Passed
House/ signed by Speaker/ sent for enrolling
lower
Mar 5, 2026
Lower · Passed
Senate/ signed by President/ returned to House
lower
Mar 5, 2026
Upper · Passed
House/ concurs with Senate amendment
upper
Mar 5, 2026
Introduced
Senate/ to House with amendments
lower
Mar 5, 2026
Upper · Passed
Senate/ comm rpt/ amended [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]
upper
Mar 4, 2026
Upper · Passed
Senate Comm - Favorable Recommendation [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]
upper
Mar 4, 2026
Introduced
Senate Comm - Amendment Recommendation [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]
upper
Mar 4, 2026
Committee
Senate/ to standing committee [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]
upper
Mar 3, 2026
Introduced
Senate/ 1st reading (Introduced)
upper
Mar 3, 2026
Upper · Passed
House/ passed 3rd reading
upper
Mar 3, 2026
Introduced
House/ floor amendment
lower
Mar 2, 2026
Lower · Passed
House/ comm rpt/ substituted [House Health and Human Services Committee]
lower
Feb 27, 2026
Lower · Passed
House Comm - Favorable Recommendation [House Health and Human Services Committee]
lower
Feb 26, 2026
Committee
House/ to standing committee [House Health and Human Services Committee]
lower
Feb 20, 2026
Introduced
House/ 1st reading (Introduced)
lower
1 primary · 1 co-sponsor

Sponsors